| NPI | 1134496144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L SYRCLE Owner 309-833-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |